How should we assess and reduce venous thromboembolism risk after lower-limb immobilisation? Dan Horner reviews the 2019 TiLLI project, examining thromboprophylaxis evidence, risk assessment tools and cost-effectiveness, while highlighting uncertainty about which patients benefit and how to communicate that risk.
Conference ReportsAcute Medicine
Simon Carley selects papers from 2018–2019 for his RCEM conference talk, explaining why they might influence emergency medicine practice. Topics include paediatric seizures, cardiac arrest and pulmonary embolism in pregnancy, with links to fuller appraisals of the studies.
Should severely injured patients receive an early vena cava filter when anticoagulant thromboprophylaxis is initially unsuitable? Dan Horner examines a 2019 randomised trial, weighing its main outcome, subgroup findings and potential harms before considering what it means for trauma care.
Revisit April 2019 with the St Emlyn’s monthly podcast round-up. Its accompanying article links explore ANDROMEDA-SHOCK, sleep and learning, aortic emergencies, outpatient pulmonary embolism care and Liz Crowe’s reflections on wellbeing after a distressing event at work.
Dan Horner reviews outpatient pulmonary embolism care in this article supporting his 2019 RCEM CPD talk. It examines patient selection, follow-up and British Thoracic Society guidance, alongside conflicting evidence about investigating suspected pulmonary embolism in pregnancy.
How common is pulmonary embolism among patients attending the ED with syncope? Natalie May examines a 2019 analysis of Canadian and US cohorts, comparing it with PESIT and exploring how different populations, investigation practices and follow-up affect interpretation of the reported prevalence.
Practical perspectives on trauma care and team leadership.
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